Individual
KRISTY ANN PAULY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
317303-13
Contact information
Practice address
1105 S 9TH ST, WATERTOWN, WI 53094-4903
(920) 390-2349
Mailing address
1105 S 9TH ST, WATERTOWN, WI 53094-4903
(920) 390-2349
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
317303-31
WI
Other
Enumeration date
07/25/2013
Last updated
09/13/2013
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